CAJ | 학술논문

目的探讨抽动-秽语综合征(抽动症)患儿的家庭环境因素与发病的相关性.方法通过调查门诊200例抽动-秽语综合征(抽动症)患儿作为抽动症组,并以三所中、小学同龄健康儿童的家庭环境情况作为对照组,分析了两组儿童的家庭环境因素,如父母关系是否融洽、管教方式、父母亲的情绪因素等.结果在家庭环境因素中,父母关系紧张、经常吵架、分居和离婚者,抽动症组明显高于健康对照组;养教方式方面,经常动用粗暴方式训斥、甚至打骂孩子者,抽动症病组也明显高于健康对照组;与孩子密切相处的直接监护人(多为母亲)情绪焦躁者抽动症组明显高于健康对照组.两组家庭环境量表中10个家庭环境因子比较研究显示,亲密度、情感表达、矛盾性、知识性、娱乐性、组织性6个因子两组间存在显著性差异(P＜0.05).结论 ①家庭中父母关系、对子女的管教方式与抽动症的发病有一定相关性;②直接监护人的焦虑情绪会影响抽动症的发病和发展产生;③转变家长的教育方式,进行家庭整体治疗对降低抽动症发生率、提高疗效有重要意义.
목적 탐토추동-예어종합정(추동증)환인적가정배경인소여발병적상관성.방법 통과조사문진200례추동-예어종합정(추동증)환인작위추동증조,병이삼소중、소학동령건강인동적가정배경정황작위대조조,분석료량조인동적가정배경인소,여부모관계시부융흡、관교방식、부모친적정서인소등.결과 재가정배경인소중,부모관계긴장、경상묘가、분거화리혼자,추동증조명현고우건강대조조;양교방식방면,경상동용조폭방식훈척、심지타매해자자,추동증병조야명현고우건강대조조;여해자밀절상처적직접감호인(다위모친)정서초조자추동증조명현고우건강대조조.량조가정배경량표중10개가정배경인자비교연구현시,친밀도、정감표체、모순성、지식성、오악성、조직성6개인자량조간존재현저성차이(P＜0.05).결론 ①가정중부모관계、대자녀적관교방식여추동증적발병유일정상관성;②직접감호인적초필정서회영향추동증적발병화발전산생;③전변가장적교육방식,진행가정정체치료대강저추동증발생솔、제고료효유중요의의.
Objective The analysis of correlation between the occurrence of tourette syndrome with one-child family environment. Methods The authors investigated home environment of two groups. One group included 200 patients with tourette syndrome and is the other group included healthy children of the same age in 3 different primary and secondary schools. By comparing with the home environmental factors, parenting styles and parent emotional factors between two groups. Results The instabilities of home environment included bad family relationship, separation between parents, divorce, scolding and even beating children. It showed that anxiety of the direct supervisors among the sickness group were higher than healthy control group as well. Among the ten factors of the Family Environments Scale, the significant differences showed in six factors of affection,cohesion,expressiveness, conflict, intellectual-culture orientation, active-recreational orientation, organization between the two groups. Conclusion So we concluded that ①There is a correlation between the parents relations,parenting styles and the incidence of tourette syndrome; ②An anxiety of the direct supervisor may initiate, even aggravate the incidence of tourette syndrome; ③It is important to convert the education mode and take family overall treatment in order to reduce the incidence and improve the effectiveness of tourette syndrome.